Blood Volume and Cell Development Quiz

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Questions and Answers

What is the primary function of transferrin in the body?

  • Transporting absorbed iron through the blood (correct)
  • Eliminating excess iron in feces
  • Initiating the clotting process
  • Dissolving blood clots

Which anticoagulants are produced by the body?

  • Antithrombin III and heparin (correct)
  • Calcium ions and vitamin K
  • Thrombin and plasmin
  • Prothrombin and fibrinogen

What triggers the extrinsic pathway of coagulation?

  • Release of tissue factor by damaged endothelium (correct)
  • Exposure to collagen
  • Accumulation of platelets
  • Activation of proenzymes

Which blood cells are primarily elevated during a bacterial infection like an abscessed tooth?

<p>Neutrophils (D)</p> Signup and view all the answers

What condition results from the accumulation of fluid in tissue spaces, often seen in liver disease?

<p>Edema (D)</p> Signup and view all the answers

During which process is prothrombin converted to thrombin?

<p>Common pathway of coagulation (C)</p> Signup and view all the answers

What is the purpose of exposing an infant with neonatal jaundice to bright light?

<p>To accelerate the breakdown of bilirubin (C)</p> Signup and view all the answers

What would be the likely outcome of decreased iron concentration in the blood on hemostasis?

<p>No effect (D)</p> Signup and view all the answers

Which pathway of coagulation is activated when proenzymes are exposed to collagen?

<p>Intrinsic pathway (A)</p> Signup and view all the answers

What process is responsible for dissolving blood clots?

<p>Fibrinolysis (C)</p> Signup and view all the answers

What is the primary function of red blood cells?

<p>Carry oxygen from the lungs to the body's cells (D)</p> Signup and view all the answers

Which organ is primarily responsible for the production of erythropoietin?

<p>Kidney (B)</p> Signup and view all the answers

What triggers the release of erythropoietin in the body?

<p>Hypoxemia and low oxygen levels (C)</p> Signup and view all the answers

What is the role of thrombopoietin?

<p>Regulates growth and maturation of megakaryocytes (D)</p> Signup and view all the answers

Which of the following is true regarding the composition of hemoglobin?

<p>It is composed of four protein chains and four iron atoms (C)</p> Signup and view all the answers

Which condition is characterized by an abnormal increase in white blood cells?

<p>Leukemia (B)</p> Signup and view all the answers

What do colony-stimulating factors (CSFs) primarily regulate?

<p>Leukopoiesis (B)</p> Signup and view all the answers

What is the average lifespan of a red blood cell?

<p>4 months (B)</p> Signup and view all the answers

What is the hematocrit a measure of?

<p>Percentage of red blood cells to total blood volume (A)</p> Signup and view all the answers

Which cell type is considered a progenitor of all blood cells?

<p>Pluripotent hematopoietic stem cell (D)</p> Signup and view all the answers

Flashcards

Hemostasis

The process by which the body stops bleeding, involving platelets and coagulation factors.

Fibrinolysis

The process by which blood clots dissolve, preventing excessive clotting.

Transferrin

A molecule that binds to and transports iron in the blood.

Erythropoiesis

The process by which red blood cells are produced in the bone marrow.

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Tissue Factor

A protein that functions in blood clotting, activated by damaged endothelium.

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Antithrombin III

One of the two anticoagulants produced by the body; helps prevent blood clots.

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Jaundice

A condition where there is too much bilirubin in the blood, leading to yellowing of the skin and eyes.

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Neutrophils

A type of white blood cell important for fighting bacterial infections.

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Edema

A condition where there is an accumulation of fluid in the tissues, often caused by liver disease or other conditions.

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Hemoglobin

The protein found in red blood cells that carries oxygen.

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Blood Volume

The total volume of blood in a 70kg man is around 5-6 liters.

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Plasma

The fluid portion of blood, primarily composed of water.

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Albumins

The most abundant proteins in blood plasma.

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Basophil

A type of white blood cell that plays a role in inflammation and allergic reactions.

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Monocytes

White blood cells that leave the circulation to become macrophages in tissues, where they engulf foreign invaders.

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Pluripotent Hematopoietic Stem Cell

The precursor cell responsible for generating all types of blood cells.

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Leukopoiesis

The production of white blood cells.

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Colony-Stimulating Factors (CSFs)

Proteins responsible for promoting the growth and maturation of white blood cells.

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Study Notes

Blood Volume and Composition

  • A 70-kg man's blood volume is approximately 5-6 liters.
  • Blood plasma is primarily water.
  • Albumins are the most abundant proteins in blood plasma.

Blood Cells and Development

  • Mast cells in tissues are a type of basophil.
  • Monocytes, when in tissues, are called macrophages.
  • The pluripotent hematopoietic stem cell is the progenitor of all blood cells.
  • Approximately 75% of cells in blood-producing tissues become white blood cells (WBCs).
  • Colony-stimulating factors (CSFs) are cytokines made by endothelial cells, bone marrow fibroblasts, and white blood cells.
  • CSFs are essential for cell division, maturation, and leukopoiesis regulation.
  • Leukemias involve abnormal white blood cell growth and development, while neutropenia is characterized by low white blood cell counts.
  • Thrombopoietin regulates megakaryocyte growth and maturation.
  • Red blood cell production is controlled by erythropoietin.
  • Thrombopoietin is produced in the liver and kidney.
  • Red blood cells (RBCs) are formed in red bone marrow in normal adults.
  • The kidney is the primary site of erythropoietin production.
  • White blood cell development varies based on body needs.
  • Hypoxemia (low oxygen levels) is the primary stimulus for erythropoietin release.

Red Blood Cells (Erythrocytes)

  • The average lifespan of a red blood cell is 4 months.
  • Red blood cells carry oxygen from lungs to body cells.
  • Hemoglobin, a major component of red blood cells, consists of four protein chains and four heme groups.
  • Heme contains an iron atom.
  • Hemoglobin's primary function is oxygen transport.
  • Hematocrit indicates the ratio of RBCs to total blood volume (packed cell volume).
  • A normal adult hematocrit is approximately 45%.
  • Aged and damaged red blood cells are broken down by the spleen.
  • Red blood cell production (erythropoiesis) increases with decreased blood oxygen.
  • Red blood cells are biconcave disks, enabling them to change shape for passage through narrow spaces.
  • Excess iron is eliminated in the feces.
  • Transferrin transports absorbed iron in the blood.

Platelets and Coagulation

  • Platelets are cell fragments that facilitate clotting, contraction, and patching of injured areas.
  • The extrinsic pathway of coagulation is triggered by tissue factor release from damaged endothelium.
  • The intrinsic pathway is activated by exposed collagen activating proenzymes.
  • The common pathway involves activating clotting factors to convert prothrombin to thrombin.
  • Fibrinolysis dissolves clots.

White Blood Cells (Leukocytes)

  • Neutrophils are a type of white blood cell that is associated with bacterial infections.

Jaundice Treatment

  • Neonatal jaundice treatment involves light exposure to facilitate the transition from fetal to adult hemoglobin.

Iron Deficiency and Hemostasis

  • A decrease in blood iron concentration has no direct impact on hemostasis.

Liver Disease Symptoms

  • Liver disease can lead to fluid buildup, reduced blood osmotic pressure, elevated bilirubin levels, and impaired blood clotting.

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